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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 30403
Experience:  University of California at Davis graduate veterinarian with 45 years of experience
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Last Saturday I noticed a very large bump on my

Customer Question

.last Saturday I noticed a very large bump on my dogs neck area. I took her to the vet Monday and they did a needle aspiration. Today my vet told me that the thyroid is normal and that she has a reactive lymph node. She's not eating drooling and definitely not feeling well. We think she's ten but aren't sure. They want to do a surgery to take a biopsy for $3000 and I'm just not sure if we should put her down or not. My thoughts are that its a bacteria infection. What do you think?
Submitted: 2 years ago.
Category: Dog Veterinary
Expert:  Dr. Michael Salkin replied 2 years ago.
Aloha! You're speaking to Dr. Michael Salkin
I'm sorry that your question wasn't answered in a timely manner. A reactive lymph node is reacting to something outside of itself - a nearby infected area which drains into the node or a systemic infectious, allergic, or immune-mediated disorder. I don't understand why a biopsy would cost $3000 unless the entire node was going to be removed - which isn't necessary. I would ask if a punch biopsy could be taken. This procedure should take less than 30 minutes and be far less costly.
To answer you directly, yes, a bacterial infection is possible but has a source for such an infection been determined? A solitary lymphadenopathy (one swollen lymph node) is unlikely to reflect a systemic infection; instead, I would expect to find infection near that node.
Please respond with further questions or concerns if you wish.
Expert:  Dr. Michael Salkin replied 2 years ago.

I'm just following up on our conversation about Sophie. How is everything going?

Dr. Michael Salkin